著者 藤原 俊義|
キーワード 特定臨床研究 ARO 患者申出療養
出版物タイトル 岡山医学会雑誌
発行日 2017-12-01
129巻
3号
開始ページ 179
終了ページ 184
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.129.179
言語 Japanese
著作権者 Copyright (c) 2017 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.129.179
NAID 40021393886
タイトル(別表記) A case report of giant ectopic pheochromocytoma conversion therapy with radioisotope therapy and chemotherapy followed by curative resection
フルテキストURL 127_213.pdf
著者 安井 和也| 楳田 祐三| 熊野 健二郎| 田端 雅弘| 大塚 文男| 八木 孝仁| 藤原 俊義|
抄録 A 46-year-old man was found to be positive for occult blood at a medical checkup and was revealed to have a 14-cm tumor on the right side of abdominal aorta by a subsequent abdominal CT scan. The endocrinology laboratory data showed elevations in the levels of serum noradrenaline, and ectopic pheochromocytoma was suspected. The tumor was compressing the inferior vena cava and portal vein, the superior mesenteric artery and the pancreas. Since it would be difficult to cure by operation, neoadjuvant therapy was started using radioisotope therapy by I-131 metaiodobenzylguanidine (131I-MIBG) and chemotherapy (CVD therapy ; cyclophosphamide, vincristine, dacarbazine). He was treated with three courses of radioisotope therapy and 16 courses of chemotherapy, which significantly reduced the tumor size. This made radical resection possible ; we were able to avoid the merger excision of great vessels and other organs. On pathological and immunopathological findings, the tumor was diagnosed as ectopic pheochromocytoma. Regarding the safety and curability of the treatment, neoadjuvant therapy may be useful in treating very large tumors that show invasion of other organs.
キーワード 異所性褐色細胞腫(ectopic pheochromocytoma) 化学療法(chemo therapy) 131I-MIBG
出版物タイトル 岡山医学会雑誌
発行日 2015-12-01
127巻
3号
開始ページ 213
終了ページ 218
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.127.213
言語 Japanese
著作権者 Copyright (c) 2015 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.127.213
NAID 130005116814
タイトル(別表記) A new training system for board-certified surgeons
著者 藤原 俊義|
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 73
終了ページ 78
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.73
言語 Japanese
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.73
NAID 130007481047
タイトル(別表記) Behçetʼs disease complicated by ileocecal and esophageal perforation
フルテキストURL 128_27.pdf
著者 九十九 悠太| 河本 和幸| 高木 弘誠| 陳 開| 松葉 優里| 長久 吉雄| 岡部 道雄| 白川 靖博| 伊藤 雅| 藤原 俊義|
抄録  A 36-year-old Japanese man known to have incomplete Behçet’s disease (oral aphthous ulcers, genital ulcers, skin lesions, and esophageal and ileocecal ulcers) was admitted to our hospital in January 2011 for abdominal pain. We administered corticosteroids and immunosuppressants. Two months later, we performed an ileocecal resection to control gastrointestinal bleeding from the ileocecal ulcers. High fever persisted after this surgery, and upper gastrointestinal endoscopy demonstrated ulcer penetration between the lower and abdominal esophagus. Eighteen days after the initial ileocecal resection, we performed a lower esophagus resection, gastric tube reconstruction and enterostomy, during which we confirmed a 5-mm-dia. perforated site at the posterior wall of the abdominal esophagus. Postoperative anastomotic leakage and empyema occurred, but they were relieved by thoracic drainage and empyema dissection.
キーワード ベーチェット病(Behçet’s disease) 食道(esophagus) 回盲部(ileocecal) 穿孔(perforation) 手術(surgery)
出版物タイトル 岡山医学会雑誌
発行日 2016-04-01
128巻
1号
開始ページ 27
終了ページ 32
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.128.27
言語 Japanese
著作権者 Copyright (c) 2016 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.128.27
NAID 130005149603